The Fulkerson osteotomy is an operation to re-align the tibial tuberosity antero-medially to alter the direction of the forces going through the kneecap.

Page updated August 2023 by Dr Sheila Strover (Clinical Editor)

fulkerson osteotomy
The patellar tendon is both medialised (moved towards the inner aspect) and brought anteriorly (moved forwards).


What is distal realignment?

The Fulkerson osteotomy is one of a group of procedures to realign the patella (kneecap) distally (ie the lower end of the patella-tendon complex). The tibial tubercle is fixed in its new position with screws.

Other distal realignment procedures include:

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Fulkerson procedure
Anteromedialisation of the tibial tubercle
Distal realignment

Dr Sheila Strover (Editor)
BSc (Hons), MB BCh, MBA

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